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Utilization Characteristics and User Satisfaction by Type of Physical Therapy Service in Senior Centers.

Journal of Korean Physical Therapy.2018;30(4):151-157. doi:10.18857/jkpt.2018.30.4.151

PURPOSE: This study was conducted to identify the characteristics of physical therapy service utilization and user satisfaction depending on the experience with therapeutic exercise or ultrasound intervention among elderly persons using senior centers. METHODS: The subjects were adults aged over 60 years (total 215) recruited in 40 senior centers located in each province in South Korea. Subjects responded to questions concerning overall demographics factors, utilized characteristics of physical therapy service and 12 variety user satisfactions with effectiveness, facilities, and therapist using a survey instrument. The collected data were analyzed by Fishers' exact tests and t-tests using the SPSS 21.0 program to compare the results of elderly persons who had or had not experienced exercise therapy or ultrasound therapy. RESULTS: The participants that experienced ultrasound therapy or therapeutic exercise reported significantly higher overall results pertaining to effectiveness of physical therapy and a clear explanation from physical therapist's satisfaction than those who were non-experienced. Satisfaction with pain relief was significantly higher among elderly who experienced therapeutic exercise than those who did not. Those who underwent ultrasound therapy showed significantly higher satisfaction with facilities and location than those who did not. CONCLUSION: The results of this study suggest that satisfaction among users differs by type of physical therapy. In the future, physiotherapy services provided in senior centers needs to be designed to improve the effectiveness of physical therapy, professionalism of physical therapists and comfort of facility.
Adult ; Aged ; Demography ; Exercise Therapy ; Humans ; Korea ; Physical Therapists ; Professionalism ; Senior Centers* ; Ultrasonography

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Effects of Active Vibration Exercise on Trunk Muscle Activity, Balance, and Activities of Daily Living in Patients with Chronic Stroke.

Dong Kyu LEE ; Eun Kyung KIM

Journal of Korean Physical Therapy.2018;30(4):146-150. doi:10.18857/jkpt.2018.30.4.146

PURPOSE: This study aimed to investigate the effect of active vibration exercise on trunk muscle activity, balance, and activities of daily living in patients with chronic stroke. METHODS: Twenty-four patients with chronic stroke were randomly assigned to an experimental (n=12) or a control (n=12) group. The experimental group performed an active vibration exercise workout for 20 minutes a day five times a week for 4 weeks using a flexi-bar. Trunk muscle activity was measured using surface electromyography. Balance was measured using the Berg balance scale. Activities of daily living were measured using the functional independence measure. RESULTS: The intragroup comparison showed significant differences in the rectus abdominis, internal oblique, and external oblique muscle activity values, Berg balance scale score, and functional independence measurement values in the experimental group. The intergroup comparison showed that differences in the rectus abdominis and internal oblique external oblique muscle values, Berg balance scale score, and functional independence measurement value for the experimental group were significantly related to those in the control group. CONCLUSION: Based on these results, this study proved that the active vibration exercise effectively improved trunk muscle activity, balance, and activities of daily living in patients with chronic stroke.
Activities of Daily Living* ; Electromyography ; Humans ; Rectus Abdominis ; Stroke* ; Vibration*

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Effect of Scapular Brace on the Pulmonary Function and Foot Pressure of Elderly Women with Forward Head Posture.

Eun Kyung KIM ; Dong Kyu LEE

Journal of Korean Physical Therapy.2018;30(4):141-145. doi:10.18857/jkpt.2018.30.4.141

PURPOSE: Changes in the curvature of the vertebral columns of elderly women with increasing age causes various side effects and disorders. Therefore, this study was conducted to evaluate the effectiveness of the 8-figure scapular brace to improve pulmonary function and balance ability based on lung capacity and foot pressure by increasing the vertebral curvature. METHODS: Seventeen elderly women with a forward head posture were selected. Women were asked to wear the 8-figure scapular brace and the forced expiratory volume in 1 second (FEV1) and forced vital capacity (FVC) were measured, as were changes in foot pressure. Measurements were conducted three times each and the mean values were used for subsequent analyses. For static evaluation, we used the paired t-test to identify differences between pre and post values. RESULTS: There was no significant difference in FEV1 and FVC before and after use of the brace (p>0.05); however, there was a significant decrease in forefoot pressure and an increase in rearfoot pressure following application of the brace (p < 0.05). CONCLUSION: Application of the 8-figure scapular brace to correct vertebral curvature in elderly women influenced pressure distribution change from immediate effect body arrange of cervical and thoracic. However, wearing the 8-figure scapular brace may interfere with expansion of the chest and therefore respiratory muscle activity. Accordingly, it is necessary to apply appropriate treatment when wearing a scapular brace and to allow a sufficient intervention period while also providing therapeutic interventions such as posture correction or respiration training.
Aged* ; Braces* ; Female ; Foot* ; Forced Expiratory Volume ; Head* ; Humans ; Lung Volume Measurements ; Posture* ; Respiration ; Respiratory Muscles ; Spine ; Thorax ; Vital Capacity

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The Effect of Whole Body Vibration Exercise on Ankle Joint Spasticity Patients with Chronic Stroke.

Yeo Reum JO ; Mo Beom JEONG ; Dong Woo LEE

Journal of Korean Physical Therapy.2018;30(4):135-140. doi:10.18857/jkpt.2018.30.4.135

PURPOSE: This study aimed to determine the appropriate stimulus strength that could result in a positive effect on the ankle joint spasticity when patients with chronic stroke performed whole body vibration (WBV) exercise. METHODS: Among 72 patients who were diagnosed with stroke at least 6 months ago, those able to perform a half squat pose with ambulation issues due to ankle joint spasticity (modified Ashworth scale, MAS≥2) were included for analysis. Individuals participated in four different frequencies of vertical WBV exercise; 0 Hz, 10 Hz, 20 Hz, and 30 Hz. Vibration amplitude was 3-4 mm and 5 minutes WBV exercise was performed at each frequency, followed by a measurement after 2-minute rest. We assigned 18 individuals to each frequency and asked them to participate in the WBV exercise once every 3 weeks. The level of spasticity was evaluated by visual analogue scale (VAS) for self-assessment. The myoton PRO was utilized to objectively evaluate the level of spasticity and check the muscle tone and stiffness. RESULTS: Participants showed 0 Hz VAS was a significant difference between 20 Hz application conditions (p < 0.05). Muscle tone was significantly different at 0 Hz between 20 Hz, and 30 Hz (p < 0.05), significantly difference at 10 Hz between 30 Hz (p < 0.05). Muscle stiffness significantly difference at 0 Hz between 20 Hz, and 30 Hz (p < 0.05), significantly difference at 10 Hz between 20 Hz, and 30 Hz (p < 0.05). CONCLUSION: Findings of this study show that the frequency of more than 20 Hz was effective in improving the ambulatory ability in patients with chronic stroke. Currently, the effective WBV protocol is limited. Hence, this study was designed to suggest an effective WBV protocol to improve neuromodulation ability for chronic stroke patients.
Ankle Joint* ; Ankle* ; Humans ; Muscle Spasticity* ; Self-Assessment ; Stroke* ; Vibration* ; Walking

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The Effect of Neuromuscular Electrical Stimulation on Pulmonary Function, Gait Ability, and Quality of Life in Patients with Chronic Obstructive Pulmonary Disease.

Jeong il KANG ; Jun Su PARK ; Dae Keun JEONG

Journal of Korean Physical Therapy.2018;30(4):129-134. doi:10.18857/jkpt.2018.30.4.129

PURPOSE: This study aims to investigate the changes in pulmonary function, gait ability, and quality of life when NMES is applied along with CBE and to provide basic clinical data to be used in pulmonary rehabilitation guidelines for patients with COPD to treat patients with severe COPD. METHODS: For this study, CBE and NMES of quadriceps femoris on both sides were applied to the experimental group (n=10), and only CBE was applied to the control group (n=10). For a pre-test, a 6-minute walk test was performed, and pulmonary function and health-related quality of life were measured. Moreover, an exercise program was applied to each group for 30 minutes per session, 5 times a week, for 6 weeks. After that, a post-test was conducted the same way as the pre-test. RESULTS: In the within-group comparison, there were significant differences in forced expiratory volume in one second, 6-minute walk test and health-related quality of life between the experimental group and the control group (p < 0.01)(p < 0.05). In the between-group comparison, the experimental group showed an increase in forced expiratory volume in one second and 6-minute walk test (p < 0.05) and showed a decline in health-related quality of life (p < 0.05). CONCLUSION: The 6-weeks NMES program improved health-related quality in patients with severe COPD by increasing expiratory volume by reinforcing the function of quadriceps femoris. This finding implies that NMES could be an alternative mode for improving physical functions of patients with severe COPD, who cannot participate in a breathing exercise program or are reluctant to participate.
Electric Stimulation* ; Forced Expiratory Volume ; Gait* ; Humans ; Pulmonary Disease, Chronic Obstructive* ; Quadriceps Muscle ; Quality of Life* ; Rehabilitation ; Respiration

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Effects of NMES and Horseback Riding Using a Robotic Device on the Trunk Muscle Activity and Gross Motor Function in Children with Spastic Diplegia.

Shin Jun PARK ; Pong Sub YOUN

Journal of Korean Physical Therapy.2018;30(4):123-128. doi:10.18857/jkpt.2018.30.4.123

PURPOSE: This study examined the effects of neuromuscular electrical stimulation (NMES) and horseback riding using a robotic device on the trunk muscle activity and gross motor function in children with spastic diplegia. METHODS: Children with spastic diplegia were divided into two groups: an experimental group (NMES and horseback riding using a robotic device [n=10]) and a control group (placebo NMES and horseback riding using a robotic device [n=10]). Each group received general physical therapy and occupational therapy. Each intervention involved the administration of NMES for 15 minutes and horseback riding using robotic device therapy for 15 minutes three times a week for 4 weeks. The evaluation included both the rectus abdominis muscles (RA), external oblique muscles (EO), thoracic paraspinal muscles (TP), and lumbar paraspinal muscles (LP) activity and GMFM. RESULTS: The RA, EO, TP, and LP muscle activity, GMFM C, D, and E were increased significantly in the experimental and control groups. A significant increase in both the TP muscle activity and GMFM D was observed in the experimental group compared to the control group. CONCLUSION: This study showed that horseback riding using a robotic device is an effective intervention for trunk muscle activity and GMFM in children with spastic diplegia. However, if NMES is added to the back muscles, it is possible to further increase the thoracic paraspinal muscle activity and standing ability.
Back Muscles ; Cerebral Palsy* ; Child* ; Electric Stimulation ; Humans ; Muscle Spasticity* ; Muscles ; Occupational Therapy ; Paraspinal Muscles ; Rectus Abdominis

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The Impact of Vibration Exercises on Shoulder Muscle Thickness.

Jin Gyu JEONG ; Jae Cheol PARK

Journal of Korean Physical Therapy.2018;30(4):117-122. doi:10.18857/jkpt.2018.30.4.117

PURPOSE: The objective of this study was to examine the effect of vibration exercises generated from an XCO® trainer on supraspinatus, infraspinatus, teres minor, and deltoid muscle thickness. METHODS: Thirty subjects were evenly divided into two groups. Muscle thickness was measured by a sonogram prior to the study, and at three and six weeks after the intervention. Changes in muscle thickness were analyzed using a repeated measure analysis of variance (ANOVA). The significance level for the statistical test was set at α=0.05. RESULTS: A statistically significant differences in timing, interactions between timing and the groups, and between-group changes were demonstrated for supraspinatus muscle thickness (p < 0.05). A similar finding was reported for infraspinatus, teres minor, and deltoid muscles with regard to the interactions between timing and the groups (p < 0.05), although the between-group change did not reach statistical significance (p>0.05). CONCLUSION: Significant changes were observed in the thickness of the supraspinatus, infraspinatus, teres minor, and deltoid muscles, owing to the use of vibration exercises generated from an XCO® trainer. These findings can be used as a foundation for future studies on rehabilitation training.
Deltoid Muscle ; Exercise* ; Rehabilitation ; Shoulder* ; Vibration*

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The Effects of Task-Oriented Exercise Program on Balance Ability in Patients with Acute Stroke.

Tae Woo KANG ; Beom Ryong KIM

Journal of Korean Physical Therapy.2018;30(4):112-116. doi:10.18857/jkpt.2018.30.4.112

PURPOSE: This study aimed to identify the effects of a task-oriented exercise program on balance in patients with acute stroke. METHODS: Twenty participants with hemiparesis resulting from acute stroke volunteered to participate in this study. They were randomly assigned to either the experimental or control group, with 10 patients per group. Both groups underwent a task-oriented exercise program averaging 30 minutes daily for 4 weeks. Balance was assessed before and after the 4-week training period. Before and after the intervention, we conducted a paired t-test to compare the within-group changes and an independent t-test to compare the betweengroup differences. The statistical significance level was set at p=0.05 for all the variables. RESULTS: Both groups showed significant within-group and between-group changes in balance (p < 0.05) after the intervention. CONCLUSION: This study provides valuable information for future studies in this field. Further research using a larger sample and longer experiment spans can corroborate the results of our study.
Humans ; Paresis ; Stroke*

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The Effect of Forward Head Posture and Tension Type Headache on Neck Movement: For Office Worker.

In Gyun KIM ; Sang Yeol LEE

Journal of Korean Physical Therapy.2018;30(4):108-111. doi:10.18857/jkpt.2018.30.4.108

PURPOSE: This study examined the effects of the forward head posture and tension type headache on neck movement among office workers. METHODS: The subjects were 6 male and 21 female patients composed of a forward head posture group, forward head posture group with a tension type headache and a normal group. Each group consisted of 2 males and 7 females. The cranio-vertebral angle of the head and the angle of motion of the neck were measured. SPSS 23.0 was used for data analysis and one-way ANOVA was performed for the mean comparison of the neck movements in the three groups. RESULTS: The participants had a limitation in the movement of all necks between the forward head posture group and forward head posture with tension type headache group compared to the normal subjects. The forward head posture with tension headache group had limited neck extension and lateral bending compared to the forward head posture group. CONCLUSION: Office workers have limitations in the movement of the neck when they are accompanied by forward head posture and tension headache. In particular, when accompanied with a tension headache, there is a restriction on the neck extension and side bending. This study is expected to provide basic data for the relief of tension headache and the treatment of forward head posture in office workers.
Female ; Head* ; Humans ; Male ; Neck* ; Posture* ; Statistics as Topic ; Tension-Type Headache*

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A Systematic Review of Elastic Taping Effect of Patients with Stroke.

Beom Ryong KIM ; Tae Woo KANG

Journal of Korean Physical Therapy.2018;30(4):101-107. doi:10.18857/jkpt.2018.30.4.101

This study was conducted to evaluate the effectiveness of taping intervention in patients with stroke through a review analysis of taping interventions used to enhance physical function and activity in patients with stroke. We searched randomized controlled trials using electronic databases. We also manually reviewed sources to identify additional relevant studies. Taping intervention is an approach to treat individuals with impaired physical function and activity. Taping interventions affect body functions by providing increased muscle strength, proprioceptive sensation, and range of motion, as well as decreased rigidity and pain. Taping interventions also improve walking, balance and arm functions, such as physical activity. Taping intervention for patients with stroke has been shown to be highly effective and is therefore strongly recommended; however, it is suggested that it be further developed to improve its efficacy as an intervention method and to create additional taping methods.
Arm ; Humans ; Methods ; Motor Activity ; Muscle Strength ; Range of Motion, Articular ; Sensation ; Stroke* ; Walking

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